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This is because it requires conversion to the active form of vitamin B12
L-carnitine acts as a biochemical buffer, binding to these toxic acyl groups and shuttling them out of the mitochondria and into the bloodstream for excretiona process known as "fatty acid dumping." This detoxification process relieves the metabolic pressure on the mitochondria, allowing them to repair and function more efficiently
We promptly initiated a review and have been in direct and ongoing communication with the patient to reach a resolution
EM and SG helped with obtaining in vivo samples and processing
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